LEONARDO QUIMADA TIRAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154542

License Status

NOT RENEWED

Business

First Name

LEONARDO

Middle

QUIMADA

Last Name

TIRAD

Business Name

LEONARDO QUIMADA TIRAD

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2006

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006